DivorceAdApplication


Your name:



Your email address:



Your phone number:


			Note: This is Divorce Advertisement Form Husband's Name: Telephone: Wife's Name: Marriage Official: Date Married: Mo/D/Yr/ Current Address: Date Divorce Declared:Mo/D/Yr/ Witness #1 Witness #2 Ad fee is $10.00, due prior to posting.
Comments:

Divorce Advertisement Form

                        Divorce 'Advertisement' Form
Note: Fee must be received before Divorce Announcement can be posted. FEE
is $10.00 unless submitted by 'registered masajid. Send M.O, Cerfitied Check or Cashiers
Check to:                   Muslim Vital Records
                            P.O. Box 305
                            Oaklyn, N.J. 08107

Divorce
Announce

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